Analysis of the structural adequacy of maternity hospitals in Piauí, Brazil, 2018-2019

• Autor(a) principal: Madeiro,Alberto
• Data de Publicação: 2022
• Outros Autores: Rufino,Andréa Cronemberger, Nunes,Maria das Dores Sousa, Martins,Victor Manfrinni Magalhães Lima, Barbosa,Clara Maria, Sousa,Alessandra Maria Cerqueira de, Acaqui,Raiza Farnochia
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Saúde Materno Infantil (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292022000200267
• topic: Structure of services; Maternity hospitals; Maternal healthcare; Quality of health care

Abstract Objectives: to evaluate the structure and adequacy of maternal healthcare facilities in Piauí. Methods: cross-sectional study in 26 hospitals with more than 200 births/year between 2018-2019. The structure was assessed by direct observation and interview with manager, in four domains: physical aspects, human resources, equipment, and drugs. Fisher’s chi-square/exact tests were used to assess differences in adequacy of structure. Results: only 46.2% of the maternal healthcare facilities had pre-delivery, parturition and immediate post-partum room. Pediatricians (73.1%) and anesthesiologists (61.5%) were the least present professionals on-duty regime. Regarding drugs, magnesium sulfate and oxytocin were observed in 76.9% of hospitals. Overall adequacy was 23.1%, being higher in maternal healthcare facilities in the capital (p=0.034) and in private ones (p=0.031). Conclusions: Data show inequalities in the structure of maternity hospitals of the state. The absence of health professionals, essential drugs, and appropriate physical structure can expose women and newborns to unnecessary and avoidable risks.